AUTHOR=Zhong Lei , Liu Shuo , Yang Yao , Xie Tong , Liu Jifeng , Zhao Huahui , Tan Guang TITLE=Metabolic syndrome and risk of subclinical hypothyroidism: a systematic review and meta-analysis JOURNAL=Frontiers in Endocrinology VOLUME=15 YEAR=2024 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2024.1399236 DOI=10.3389/fendo.2024.1399236 ISSN=1664-2392 ABSTRACT=Background

Subclinical hypothyroidism (SCH) is a common endocrine subclinical disorder, the main adverse consequences of which are the development of clinical hypothyroidism and the promotion of ischemic heart disease. Metabolic syndrome (MetS) is a collection of metabolic problems. The goal of this meta-analysis was to evaluate the relationship between MetS and SCH.

Methods

Suitable publications were identified using PubMed, Embase, and the Cochrane Library. The meta-analysis included only studies in English that reported odds ratio (OR) data for MetS and SCH. Two researchers combined data using a random-effects model. OR and 95% confidence intervals (CIs) were used to present the results.

Results

MetS was associated with an elevated risk of developing SCH (OR 2.56, 95% CI 1.44–4.55). However, the individual components of MetS were not associated with the risk of SCH. Subgroup analysis revealed that different definitions of MetS had varying effects on SCH. Sensitivity analysis confirmed that our results were robust.

Conclusions

This meta-analysis indicates that patients with MetS have an increased risk of SCH, while there is no significant association between the five individual components of MetS and the risk of SCH.

Systematic review registration

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023454415.